Individual provider · Type 1 NPI

Heather Lake Kelly, PSYD

Clinical Psychologist · Scotts Valley, CA

NPI number 1801931548 Active

Practice location

800 Bethany Dr
Scotts Valley, CA 95066-2820

Mailing address

270 Gaston Cir
Scotts Valley, CA 95066-2823

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY 18917 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1801931548

Heather Lake Kelly, PSYD's National Provider Identifier is 1801931548, issued on Feb 20, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Scotts Valley, CA. The record was last updated on Jul 8, 2007.